Identifying and definitional attributes
|Metadata item type:||Indicator|
|Indicator type:||Progress measure|
|Short name:||PI 19-Selected potentially avoidable GP-type presentations to emergency departments, 2013|
|Registration status:||Health, Superseded 30/04/2014|
|Description:||Attendances at public hospital emergency departments that could have potentially been avoided through the provision of appropriate non-hospital services in the community.|
|Indicator set:||National Healthcare Agreement (2013) Health, Superseded 30/04/2014|
|Outcome area:||Primary and Community Health Health, Standard 07/07/2010|
|Quality statement:||National Healthcare Agreement: PI 19-Selected potentially avoidable GP-type presentations to emergency departments, 2013 QS Health, Superseded 14/01/2015|
Collection and usage attributes
Potentially avoidable general practitioner (GP)-type presentations are defined as presentations to public hospital emergency departments with a Type of visit of 'Emergency presentation' (or for South Australia only, and only for data from 2009-10 and previous years, Type of visit can be 'Emergency presentation' or 'Not reported') where the patient:
Limited to public hospitals in Peer Groups A and B.
To ensure comparability over time, emergency department activity at the Mersey Community Hospital is reported with Peer Group B hospitals for National Healthcare Agreement purposes. Whilst it is currently not a Peer Group A or B hospital, in the baseline year (2007-08) Mersey was a campus of the Peer Group B North West Regional Hospital and its emergency department activity was included in the baseline.
Analysis by state and territory, remoteness and Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-Economic Disadvantage (IRSD) is based on usual residence of person.
Presented as a number.
|Numerator:||Number of potentially avoidable GP-type presentations to emergency departments.|
|Numerator data elements:|
2008-09, 2009-10, 2010-11 (updated for peer group) and 2011–12—Nationally by SEIFA Index of Relative Socio-Economic Disadvantage (IRSD) deciles.
2008-09, 2009-10, 2010-11 (updated for peer group) and 2011–12—State and territory, by:
Some disaggregations may result in numbers too small for publication.
Disaggregation by peer group is limited to Peer Groups A and B, as this is the scope of the collection, and coverage varies for other hospitals by state and territory.
|Disaggregation data elements:|
Most recent data available for 2013 Council of Australian Governments (COAG) Reform Council (CRC) report: 2011–12.
This definition of ‘potentially avoidable GP-type presentation’ was used in the Booz Allen Hamilton study of emergency department care in NSW, and is considered to be a reasonable starting approximation of the population that should be receiving service in the primary care sector.
The AIHW and states and territories will investigate the consistency of this indicator over time with regards to the movement of hospitals into and out of Peer Group A and B, with respect to the base year.
|Unit of measure:||Episode|
Indicator conceptual framework
|Framework and dimensions:||Accessibility|
Data source attributes
|Reporting requirements:||National Healthcare Agreement|
|Organisation responsible for providing data:||Australian Institute of Health and Welfare|
National Healthcare Agreement performance benchmark and National Partnership on Taking Pressure Off Public Hospitals performance benchmark:
By 2012–13, 80 percent of emergency department presentations are seen within clinically recommended triage times as recommended by the Australian College of Emergency Medicine.
National Partnership on Taking Pressure Off Public Hospitals performance benchmark:
By 2013–14, 95 per cent of hospitals with an ED report to the non-admitted emergency care national minimum data set collection.
National Partnership Agreement on Taking Pressure Off Public Hospitals output measures:
Output: A nationally accepted definition of what a non emergency GP type presentation is based on emergency department DRGs by June 2012.
Joint Roles: D10 Commonwealth and States to develop a nationally consistent DRG based definition of a non emergency primary care presentation.
|Further data development / collection required:||Specification: Substantial work required, the measure requires significant work to be undertaken.|
Source and reference attributes
NSW Ministry of Health 2007. Booz Allen Hamilton study: Key Drivers of Demand in the Emergency Department. Viewed 22 April 2013, <www0.health.nsw.gov.au/pubs/2007/booz_allen_report.html>.
|Related metadata references:|
See also National Healthcare Agreement: PI 12-Waiting times for GPs, 2013 Health, Superseded 30/04/2014
Has been superseded by National Healthcare Agreement: PI 19-Selected potentially avoidable GP-type presentations to emergency departments, 2014 Health, Superseded 14/01/2015
See also National Healthcare Agreement: PI 21a-Waiting times for emergency hospital care: Proportion seen on time, 2013 Health, Superseded 30/04/2014
See also National Healthcare Agreement: PI 21b-Waiting times for emergency hospital care: Proportion completed within four hours, 2013 Health, Superseded 30/04/2014
Supersedes National Healthcare Agreement: PI 23-Selected potentially avoidable GP-type presentations to emergency departments, 2012 Health, Superseded 25/06/2013